针灸预防性治疗偏头痛的策略

Tactics of acupuncture for migraine prophylaxis

本文作者采用文献综述的方法,总结针灸防治偏头痛的研究进展,对比分析国内外研究方法和结论的差异,以便为针灸预防性治疗偏头痛提供更加科学和实用的策略。虽然在偏头痛非发作期针灸预防性治疗具有很高的应用价值,但目前国内的研究水平和重视程度不及国外。其原因是多方面的,与东西方评价针灸疗效的出发点不同,我国针灸临床研究的方法学存在明显缺陷,以及针灸医师对于偏头痛预防性治疗的意义认识不够等有关。我们应该借鉴西方研究的经验,加强偏头痛的针灸预防性治疗,开展高水平的临床试验,建议采用适合我国国情的一种优化的预防性治疗策略,以经络辨证取穴为主,采用长周期、间歇式的干预方案。

In order to provide some more scientific and practical advice and tactics for acupuncture in prevention of migraine in clinic, a computer-based information search was conducted in MEDLINE database, and the current reports of clinical trials were summarized and a comparison of Western and Chinese research designs was made. The significant role of acupuncture for prevention of migraine has not been applied in wide range in China until the present day. However, it has been paid great attention in Western countries. This situation might be related to the differences of efficacy assessment of acupuncture between China and Western countries; meanwhile, in the past traditional acupuncturists put much stress on the therapeutic approaches for acute attacks of headache but less on prevention. It is necessary for Chinese doctors to learn from research method in the West and emphasize more on acupuncture for preventing migraine and conduct high-level clinical trials as well. The author recommends that Chinese doctors should select acupuncture points mainly according to meridian syndrome differentiation and apply long term intermittent interventions.